Help me to get an erection for thr next date

[Flavio]

[...]

I phrased unspecifically, I get anxious (recently) that I will lose my erection (psychogenic) the levels of adrenalin/noradrenalin increase and will bring my boner down. A alpha1 antagonists prevents that from happening.

...

Yes you're absolutely right. They block the effects of anxiety and are very effective, no question about it. BUT they do not go to the root of the problem, they only act locally and do not improve libido. Erections start in the brain and if the brain isn't sending the right signals, alpha blockers may not work.

Apomorphine, by the contrary, may be helpful. It is a centrally acting drug and also improves libido. I ordered a few troches from The ED Clinic and they should arrive soon, I'll keep you guys posted on that.

How do you take doxazosin, every day or as needed? How long does the effect last? Where do you get it and how did you find out about this drug?

[mr.skin]

Yes.

But I am taking Cabergolin as well (D2 Agonist, long acting, and slight a2-agonist)

I try to take 1mg daily and more when needed but my nose gets very congested which is annoying me.

It works for 12 hours, when taken daily for 22 hours, peak activity after 2-3 hours I think.

I have a prescription from my urologist...

But back to topic - how would you approach the next date ?

[Flavio]

[...]

One thing to consider here is that the high dose treatment of PDE5 inhibitors combined with alpha blockers may be causing a side effect that in itself may hinder erectile function; low blood pressure.
If the inflow of blood drops too much into the corpus cavernosum, I would imagine venous occlusion would be less effective. This would be even more pronounced if there was any form of hardening or blockage of the cavernosal and or connecting arteries.
[...]

This is a very interesting piece of information.

Antihypertensive drugs (e.g. phentolamine) usually help with ED but you're saying that too much of this may actually hinder erectile function?

I guess this show how complex erectile function really is. There are so many factors involved (blood pressure, neurotransmitters, etc.), it's actually a biological miracle that men should get an erection at all.

[Tellmehow]

Hello you all,

Let s play a little game. You guys help me to figure out the stack to achieve an erection for the next date.

I list all the medicine I have on hand and we will figure out together how I get a 2-3 hour erection on tuesday evening .

On stock: (each medicine various times on hand)

Caverject (PGE1) 20mcg
Caverject 10mcg
Sildenafil 100mg
Avanafil 200mg
Tadalafil 20mg
Vardenafil 20mg
Doxazosin 1mg
Doxazosin 4mg

Last time I took
1mg of Doxazosin
150mg Sildenafil
20mcg PGE1
30mg Tadalafil

And I was still troubling to keep an erection.

Now I am even more nervous which means I have to increase the dosage of the Doxazosin (alpha1 Antagonist).

I know you guys are not doctors, so let s make it a what if case.

In the unlikely case of priapism I am very well aware of what to do...

Last time I took
1mg of Doxazosin
150mg Sildenafil
20mcg PGE1
30mg Tadalafil
For how long are u able to keep your erection using all these?

[mr.skin]

I dont get it.

Now I used a slight stack consisting of 30mg tadalafil, 200mg avanafil and 2mg doxazosin.

And it worked. Could ve maybe gone for a second round but partner wasn t in the mood...

I mean, yes, still not normal for a 27year old and still more than any regular doc will recommend you to use but if it d be consistenly like this I wouldnt even consider an implant anywhere.

On the other hand I barely have morning/nightly erections.

[Tellmehow]

I dont get it.

Now I used a slight stack consisting of 30mg tadalafil, 200mg avanafil and 2mg doxazosin.

And it worked. Could ve maybe gone for a second round but partner wasn t in the mood...

I mean, yes, still not normal for a 27year old and still more than any regular doc will recommend you to use but if it d be consistenly like this I wouldnt even consider an implant anywhere.

On the other hand I barely have morning/nightly erections.

Good to hear that you're happy with it!